Healthcare Provider Details

I. General information

NPI: 1295857985
Provider Name (Legal Business Name): MARY ELIZABETH SCHWARTZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 MADRUGA AVE SUITE 220
CORAL GABLES FL
33146-3039
US

IV. Provider business mailing address

PO BOX 432620
SOUTH MIAMI FL
33243-2620
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-8358
  • Fax: 305-740-9632
Mailing address:
  • Phone: 305-740-8358
  • Fax: 305-740-9632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberARNP624082
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number624082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: